<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
		<link rel="stylesheet" type="text/css" href="css/style05.css"/>
	</head>
	<body>
		<h3>收货人信息</h3>
		<form id="f1" action="" method="post">
			收货人<input type="text" value="" placeholder="请输入收货人姓名"/><br>
			手机号码<input type="text" name="" id="" value="" placeholder="请输入收货人手机号码"/><br>
			所在地区<select name="">
				        <option value="">--请选择--</option>
						<option value="">河南省</option>
					    <option value="">湖北省</option>
					    <option value="">海南省</option>
			        </select>
					<select name="">
						<option value="">郑州市</option>
						<option value="">武汉市</option>
						<option value="">哈哈市</option>
					</select>
					<select name="">
						<option value="">金水区</option>
						<option value="">腾翔区</option>
						<option value="">涯天区</option>
					</select><br>
					详细地址<input type="" name="" id="" value="" placeholder="河南省郑州市金水区 请输入收货人详细地址"/>
		</form>
		<hr >
		<h3>订购人信息</h3>
		<form id="f2" action="" method="post">
			订购人姓名<input type="text" value="" placeholder="请输入订购人姓名"/><br>
			订购人手机<input type="text" name="" id="" value="" placeholder="请输入订购人手机号码"/>
		</form>
		<hr >
		<h3>送达日期</h3>
		<form id="f3" action="" method="post">
			订购人姓名<input type="text" value="" placeholder="请输入送达日期"/><br>
		</form>
		<hr >
		<h3>贺卡留言</h3>
		<form id="f4" action="" method="post">
	     <textarea rows="" cols=""
		 maxlength="170px" placeholder="贺卡留言:最多30个字，生日牌:最多8个字，请在“贺卡留言”中注明"></textarea>
		</form>
		<hr >
		<h3>核对购物清单</h3>
		<div id="d5">
			<div class="d6">
				<div class="d7"><img src="img/logo.jpg" ></div>
				<div class="d8"><a href="">提拉米苏(约2磅)</a></div>
				<div class="d9"><a href="">198</a>    <a href="">x1</a></div>
			</div>
		</div>
		<hr >
		<div id="dt1">
			<div class="dt2">
				<p>配送至</p>
				<p>张三 15919173982</p>
				<p>共<a href="">1</a>件商品，总金额：<a href="">198</a></p>
				<p>应付：<a href="">198</a> <button type="button">提交订单</button></p>
			</div>
		</div>
	</body>
</html>
